Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.63 / $32.92 / $201.20	Facility		$28.63	$32.92	$201.20
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.16 / $11.28 / $14.98	Facility	26	$6.16	$11.28	$14.98
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $21.88 / $61.75 / $383.52	Facility	TC	$21.88	$61.75	$383.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $28.51 / $83.70	Professional		$21.28	$28.51	$83.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.16 / $8.81 / $27.27	Professional	26	$6.16	$8.81	$27.27
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $48.64 / $50.40 / $138.84	Professional	50	$48.64	$50.40	$138.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.29 / $21.35 / $72.87	Professional	TC	$15.29	$21.35	$72.87
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $33.74 / $85.09 / $359.91	Facility		$33.74	$85.09	$359.91
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $18.72 / $19.84 / $100.00	Facility	26	$18.72	$19.84	$100.00
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $45.10 / $56.55 / $116.61	Facility	TC	$45.10	$56.55	$116.61
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $26.27 / $43.03 / $187.12	Professional		$26.27	$43.03	$187.12
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $6.93 / $12.05 / $67.70	Professional	26	$6.93	$12.05	$67.70
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $20.16 / $34.54 / $160.00	Professional	TC	$20.16	$34.54	$160.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.47 / $98.31 / $191.07	Facility		$36.47	$98.31	$191.07
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.68 / $15.40 / $20.46	Professional	26	$10.68	$15.40	$20.46
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.07 / $38.95 / $76.53	Professional	TC	$27.07	$38.95	$76.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.14 / $190.49 / $277.89	Facility		$68.14	$190.49	$277.89
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $23.23 / $23.23 / $23.23	Facility	TC	$23.23	$23.23	$23.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $45.69 / $93.06	Professional		$29.27	$45.69	$93.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.95 / $12.62 / $23.89	Professional	26	$7.95	$12.62	$23.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.73 / $36.28 / $70.22	Professional	TC	$21.73	$36.28	$70.22
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $26.26 / $83.43 / $6,679.00	Facility		$26.26	$83.43	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $31.73 / $56.72	Professional		$10.30	$31.73	$56.72
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $71.45 / $95.79	Professional		$36.04	$71.45	$95.79
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.83 / $18.64 / $25.71	Professional	26	$9.83	$18.64	$25.71
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $26.21 / $52.27 / $68.54	Professional	TC	$26.21	$52.27	$68.54
Health New England Facility/Professional Facility Modifier Low / Median / High Price $45.94 / $176.90 / $296.00	Facility		$45.94	$176.90	$296.00
Health New England Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $21.63 / $69.73	Professional		$11.69	$21.63	$69.73
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $62.24 / $359.91 / $359.91	Facility		$62.24	$359.91	$359.91
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $18.72 / $100.00 / $100.00	Facility	26	$18.72	$100.00	$100.00
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $45.10 / $116.61 / $116.61	Facility	TC	$45.10	$116.61	$116.61
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $43.54 / $187.12	Professional		$28.57	$43.54	$187.12
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $7.91 / $12.95 / $67.70	Professional	26	$7.91	$12.95	$67.70
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $20.21 / $34.54 / $160.00	Professional	TC	$20.21	$34.54	$160.00
Tufts Facility/Professional Facility Modifier Low / Median / High Price $23.07 / $24.94 / $121.13	Facility		$23.07	$24.94	$121.13
United Facility/Professional Facility Modifier Low / Median / High Price $22.40 / $22.40 / $22.40	Facility		$22.40	$22.40	$22.40
United Facility/Professional Professional Modifier Low / Median / High Price $28.05 / $38.35 / $69.51	Professional		$28.05	$38.35	$69.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.27 / $10.76 / $19.87	Professional	26	$7.27	$10.76	$19.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.17 / $27.59 / $52.32	Professional	TC	$20.17	$27.59	$52.32